| NPI | 1023219417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 076110-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SL05287500) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2012-04-09 |