| NPI | 1902926785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44sc06165900) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 074894) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2024-01-19 |