| NPI | 1912376070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SL06085900) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05944200) |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2021-01-04 |