| NPI | 1720297351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 118412) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SL05357100) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2018-03-14 |