NPI | 1013536556 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW020719) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06129200) |
Enumeration Date | 2020-04-14 |
Last Update Date | 2025-02-07 |