| NPI | 1912194564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC01171600) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R045958) |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2007-09-27 |