| NPI | 1740557487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SCO4677800) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NO07112500) |
| Enumeration Date | 2011-11-23 |
| Last Update Date | 2011-11-23 |