| NPI | 1699097162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NJ 44SL05779600) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 73 081118) |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2013-11-11 |