| NPI | 1386889780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 079607) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 077877-1) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05819800) | |
| Enumeration Date | 2008-12-14 |
| Last Update Date | 2020-06-30 |