| NPI | 1710028451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 8774) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC04691500) |
| 1041C0700X Social Worker, Clinical (Licence: NC C004954) | |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2007-07-08 |