| NPI | 1407191000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC0562080) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL05800200) |
| Enumeration Date | 2012-12-07 |
| Last Update Date | 2015-03-31 |