| NPI | 1447596119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 10225) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44sc05504900) |
| Enumeration Date | 2012-12-27 |
| Last Update Date | 2013-08-26 |