| NPI | 1417195595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05458900) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY R055509-1) |
| Enumeration Date | 2009-01-28 |
| Last Update Date | 2011-04-27 |