| NPI | 1962945436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SL06224200) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 096622-1) |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2016-11-30 |