| NPI | 1720126949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC00593900) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY R0149411) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2010-10-15 |