| NPI | 1396112264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R031669-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ SC07509) |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2015-08-27 |