| NPI | 1912349622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 070275-1) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL04891400) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2013-07-23 |