| NPI | 1114070539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44C05390700) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 076138-1) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2020-12-01 |