| NPI | 1891020517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 071928-1) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05182900) |
| Enumeration Date | 2009-10-14 |
| Last Update Date | 2017-04-06 |