| NPI | 1922234848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC0551488) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 077146) |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2015-06-01 |