| NPI | 1841348562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 8569) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NJ 44SCO4524700) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2014-11-04 |