| NPI | 1902019532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY PR0240791) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ SC14347) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2010-09-15 |