| NPI | 1255313557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY PR0153391) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NJ 445C01290300) |
| 1041C0700X Social Worker Clinical (Licence: NY 11434CASAC) | |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2007-07-08 |