| NPI | 1649650003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 081592) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05694000) |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2016-07-27 |