| NPI | 1104037399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R015705) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 003836) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC00531900) | |
| Enumeration Date | 2007-05-27 |
| Last Update Date | 2007-07-08 |