| NPI | 1972749273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05710000) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 075228) |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2017-08-14 |