| NPI | 1083617542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY RO27350) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NJ 44SC00839100) |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2007-07-08 |