| NPI | 1174724165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05371500) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL05439000) |
| 104100000X Social Worker (Licence: NY 074206) | |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2009-04-27 |