| NPI | 1164550182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 007248) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05360800) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2011-04-26 |