| NPI | 1972677110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC04693000) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 0535121) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2007-07-08 |