| NPI | 1053527192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW016551) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC00572700) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2014-03-24 |