| NPI | 1659380038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 4SC04869700) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R029027-1) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2009-01-14 |