| NPI | 1962059824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05986900) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 088131) |
| Enumeration Date | 2019-08-24 |
| Last Update Date | 2021-05-05 |