| NPI | 1891520912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 123911-01) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SL07125500) |
| Enumeration Date | 2024-09-06 |
| Last Update Date | 2024-09-19 |