| NPI | 1164576625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 36219) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NJ 44SW00118000) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-07-08 |