| NPI | 1003826348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 19220) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC4325000) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2009-03-24 |