| NPI | 1265732903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05600400) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 0975942816162832) |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2015-02-04 |