| NPI | 1942794060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 99893) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06380800) |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2026-05-03 |