| NPI | 1124204441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC04835200) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 072155-1) |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2011-10-13 |