| NPI | 1942406244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 078410-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SCO4925000) |
| Enumeration Date | 2007-06-23 |
| Last Update Date | 2016-01-07 |