| NPI | 1174708580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 18990) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44sc05314700) |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2018-08-08 |