| NPI | 1265519334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R80363481) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 445C04808100) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |