| NPI | 1225308851 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44sc0552400)  | 
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL05602600)  | 
| Enumeration Date | 2012-01-12 | 
| Last Update Date | 2013-11-18 |