| NPI | 1952766982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 080979) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05652700) |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2015-12-17 |