| NPI | 1306253752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05488100) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 077925-1) |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2014-07-17 |