| NPI | 1194982108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY PR0226771) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC00753100) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2009-07-30 |