| NPI | 1457579948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05382800) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 077219-1) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2013-05-31 |