| NPI | 1316240963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 010359) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05464200) |
| Enumeration Date | 2010-12-20 |
| Last Update Date | 2019-07-02 |