| NPI | 1013088475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY PR023475-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44C01469300) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2007-07-08 |