| NPI | 1932615051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 089258) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05712800) |
| Enumeration Date | 2017-12-27 |
| Last Update Date | 2020-06-18 |