| NPI | 1083749089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05193400) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 9755) |
| 1041C0700X Social Worker, Clinical (Licence: NC C007185) | |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2012-12-28 |