| NPI | 1487876488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05317600) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 060657-1) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2019-03-04 |