| NPI | 1639236052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05333400) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL05260400) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2008-07-27 |