| NPI | 1629277512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ SC00306000) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: NJ 79260) |
| 174400000X Specialist (Licence: NJ CDE09224107) | |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2007-07-12 |