| NPI | 1932353844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05484700) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 075515) |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2013-09-04 |