| NPI | 1669759007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 090172-01) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SW05432200) |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2023-03-08 |