| NPI | 1487703773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0001051) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC00192300) |
| 1041S0200X Social Worker, School (Licence: NJ 44SC00192300) | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2014-11-26 |