| NPI | 1710151535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05259400) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 077257-1) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2015-07-29 |