| NPI | 1972810521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCS26794) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05417900) |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2013-03-15 |