| NPI | 1578745675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 077623) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ SC053436000) |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2013-06-21 |