| NPI | 1831178565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW4777) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NJ SC02877) |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2007-07-09 |