| NPI | 1710129382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05061800) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 074861-1) |
| 1041C0700X Social Worker, Clinical (Licence: NY 055543-1) | |
| Enumeration Date | 2009-03-29 |
| Last Update Date | 2009-03-29 |