| NPI | 1134293848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05356400) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 072568-1) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2010-10-07 |