| NPI | 1538484159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 079524) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44sl05418000) |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2012-07-18 |