| NPI | 1962781013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 080501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05540300) |
| 1041C0700X Social Worker, Clinical (Licence: MD 33843) | |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2025-11-24 |