| NPI | 1043768468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW022765) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06197500) |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2023-07-12 |