| NPI | 1295937456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY PRO20989-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC00020600) |
| 106H00000X Marriage & Family Therapist (Licence: NJ 37F10073800) | |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2007-07-08 |