| NPI | 1730330770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 078881) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SL05497100) |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2012-07-23 |