| NPI | 1205915097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY PR0130571) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC00296900) | |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2020-10-21 |