| NPI | 1467643288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05297500) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL SW8683) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2016-09-27 |