| NPI | 1922266071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW13574) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05437100) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2017-04-22 |