| NPI | 1396160529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 74201) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05325500) |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2017-03-02 |