| NPI | 1578831830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MD 13985) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05577900) |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2014-09-26 |