| NPI | 1306997762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY NYSPR012108) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ SC07605) |
| Enumeration Date | 2007-01-14 |
| Last Update Date | 2023-03-07 |