| NPI | 1659507994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 072199-1) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NJ 44SCO4803600) |
| Enumeration Date | 2009-06-01 |
| Last Update Date | 2009-06-01 |