| NPI | 1760745004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05747600) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 082767) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2018-07-23 |