| NPI | 1578627030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R015676) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ SC13712) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2014-01-22 |