| NPI | 1750624607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05545800) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 079380-1) |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2013-06-14 |