| NPI | 1538389739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R019771) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC01172200) |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2007-07-08 |