| NPI | 1871657718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC04702200) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC15169) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2015-12-30 |