| NPI | 1194990762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R013550-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ SC03674) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2008-04-25 |