| NPI | 1821217266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R076602) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC04400100) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2010-09-30 |