| NPI | 1235285362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NJ 44SC00573200) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW017022) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2012-04-06 |