| NPI | 1174676506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 115425) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44sc04912400) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2016-03-17 |