| NPI | 1346635166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05634500) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL05726700) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2015-10-16 |