| NPI | 1487859765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 077034-1) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL05333500) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2013-05-09 |