| NPI | 1740336379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05293800) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NJ 44SL05164000) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2013-07-24 |