| NPI | 1699910521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC014776200) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 050670-R) |
| Enumeration Date | 2008-12-05 |
| Last Update Date | 2009-03-13 |