| NPI | 1154553238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 9307-C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW9264) |
| 1041C0700X Social Worker, Clinical (Licence: OR L3866) | |
| 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NJ 1090) | |
| Enumeration Date | 2009-08-21 |
| Last Update Date | 2019-02-25 |