| NPI | 1396963294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW9314) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05198900) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2012-09-05 |