| NPI | 1093120891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NJ 44SC05354400) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 44SC05354400) |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2014-07-01 |