| NPI | 1093899544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R032769-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SCO1346600) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2007-07-08 |