| NPI | 1053797050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05896500) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06094100) |
| 104100000X Social Worker (Licence: PA SW128460) | |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2019-12-04 |