| NPI | 1619034618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 083186) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SC05301800) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2015-06-20 |