| NPI | 1235453861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY R025403-1) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NJ 44SCO4521900) |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2010-03-25 |