| NPI | 1962713693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05586100) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 079278-1) |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2018-03-17 |