| NPI | 1104046465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC00491900) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY LMSW 031474) |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2007-07-08 |