| NPI | 1457418980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 445SC0035580) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY R0265971) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2007-07-08 |