| NPI | 1194803064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC5445000) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS19224) |
| 1041C0700X Social Worker, Clinical (Licence: PA CW016739) | |
| 1041C0700X Social Worker, Clinical (Licence: NY 077361-1) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2016-06-06 |