| NPI | 1992072573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05460700) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 7348597) |
| Enumeration Date | 2011-11-25 |
| Last Update Date | 2011-11-25 |