| NPI | 1669516514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY PRO015447) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ SC14940) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2007-07-09 |