| NPI | 1558375170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 026298R) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC00267800) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2012-02-15 |