| NPI | 1447542980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05486300) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL05501200) |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2015-05-01 |