| NPI | 1467633594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC04795000) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC COO3887) |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2012-03-03 |