| NPI | 1164682050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SL05408400) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 069951) |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2008-06-13 |