| NPI | 1154657419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC00655800) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: NJ 00146052) |
| Enumeration Date | 2009-10-21 |
| Last Update Date | 2009-10-21 |