| NPI | 1871602086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC00671500) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 0701521 541636) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |