| NPI | 1568523454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05092500) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY R059209-1) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2011-11-28 |