| NPI | 1023175445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC04519300) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149012122) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2012-02-10 |