| NPI | 1154795953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05613100) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 070450-1) |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2015-11-18 |