| NPI | 1982989448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05580200) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL04942200) |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2015-11-09 |