| NPI | 1386904944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05493600) |
| Additional Taxonomies | 1041S0200X Social Worker School (Licence: NJ 563303) |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2012-05-16 |