| NPI | 1003202987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05583400) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: NJ 542498) |
| 104100000X Social Worker (Licence: PR 13672) | |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2017-03-22 |