| NPI | 1942351077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 077404-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 7134) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05381600) | |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2010-10-20 |