| NPI | 1609934710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY PR020931) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC04824300) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2007-12-21 |