| NPI | 1275832255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 11263) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05437700) |
| Enumeration Date | 2011-03-16 |
| Last Update Date | 2014-07-31 |