| NPI | 1003018649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-12863) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05292300) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2016-11-01 |