| NPI | 1912333733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 080775-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SL05643200) |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2013-09-25 |