| NPI | 1912393646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05887200) |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL ISW9617) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2022-11-11 |