| NPI | 1720144868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05225700) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 073053) |
| 1041S0200X Social Worker, School (Licence: NJ 541220) | |
| Enumeration Date | 2006-12-30 |
| Last Update Date | 2007-07-08 |