| NPI | 1912478793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05832500) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SL06180000) |
| Enumeration Date | 2018-12-05 |
| Last Update Date | 2019-01-06 |