| NPI | 1568526093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05369800) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 068105-1) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2018-09-14 |