| NPI | 1902666225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 121712) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 30882) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SL07003400) | |
| Enumeration Date | 2024-03-21 |
| Last Update Date | 2024-03-21 |