| NPI | 1174846877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 082348) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 081980) |
| 101Y00000X Counselor | |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05707000) | |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2017-05-08 |