| NPI | 1790063733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC0532) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY R056757-1) |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2012-07-30 |