| NPI | 1457617052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05287300) |
| Additional Taxonomies | 1041S0200X Social Worker School (Licence: NJ 00293374) |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2012-04-09 |