| NPI | 1215939111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NJ 44SC00033500) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NJ 37F100134000) |
| 163W00000X Registered Nurse (Licence: NJ 26N006756900) | |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2012-08-14 |