| NPI | 1265567119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY PRO243191) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY PRO243191) |
| 103T00000X Psychologist (Licence: NJ SCO 1393) | |
| 1041C0700X Social Worker, Clinical (Licence: NJ SCO 1393) | |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2010-10-04 |