| NPI | 1306112065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05561500) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SL05660200) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2013-10-21 |