| NPI | 1912260670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05238600) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 071679-1) |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2012-06-19 |