| NPI | 1265663579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC04632800) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW9015) |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2009-08-04 |