| NPI | 1891326211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AZ LCSW-19260) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05870600) |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2022-12-02 |