| NPI | 1083871636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC01271300) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 0385781) |
| 1041C0700X Social Worker, Clinical (Licence: DC LC300457) | |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-21 |