| NPI | 1730397993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05366700) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 074925) |
| Enumeration Date | 2007-05-20 |
| Last Update Date | 2015-03-05 |