| NPI | 1972865053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44sc05557900) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44sl05663400) |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2014-01-10 |