| NPI | 1366515116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05312100) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 074828) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2009-06-30 |