| NPI | 1144384694 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R054904-1) | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05060600) | 
| Enumeration Date | 2006-12-20 | 
| Last Update Date | 2022-09-30 |