| NPI | 1316368970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X (Licence: NJ 44sc05521900) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44sc05521900) |
| Enumeration Date | 2013-12-30 |
| Last Update Date | 2013-12-30 |