| NPI | 1710048673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SCO5168800) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 040335) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2010-11-28 |