| NPI | 1164728481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW11522) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05446700) |
| Enumeration Date | 2011-02-03 |
| Last Update Date | 2016-06-28 |