| NPI | 1538358890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 044689-1) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC04407900) | |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2012-03-01 |