| NPI | 1437587425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05786400) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 088035-1) |
| 1041C0700X Social Worker, Clinical (Licence: NY 085897) | |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2019-01-08 |