| NPI | 1912093543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY NYCSWR017041) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ NJLCSW44SC00030800) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-08 |