| NPI | 1316087695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C007652) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05318600) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2014-01-21 |