| NPI | 1982737888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC04311900) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY R050540) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2007-07-08 |