| NPI | 1497035729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW12936) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05572200) |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2015-11-27 |