| NPI | 1174684187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY PRO 23362-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ SC 12962) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2008-09-24 |