| NPI | 1699064261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05459400) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 081613-1) |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2014-08-25 |