| NPI | 1952911109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA LSW007207) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05530300) |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2020-08-03 |