| NPI | 1124319785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05483200) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW 10298) |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2012-01-06 |