| NPI | 1790108199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44S00365200) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R034403-1) |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2014-01-22 |