| NPI | 1194923680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05535100) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 078211) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2018-03-17 |