| NPI | 1295926111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NJ 44SL04864900) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 73-074894) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2013-11-26 |