| NPI | 1346364874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY PRO18131-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC01311000) |
| 106H00000X Marriage & Family Therapist (Licence: NY 000415-1) | |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2007-07-08 |