| NPI | 1528228475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05408600) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 076829-1) |
| 1041C0700X Social Worker, Clinical (Licence: NY 078946) | |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2013-08-13 |