| NPI | 1922458447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05486600) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 8975835) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2016-06-15 |