| NPI | 1073630737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C007084) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05336500) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2011-03-22 |