| NPI | 1538267968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WI 929-122) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05357500) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-12-05 |