| NPI | 1053813519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW022482) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06087400) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801118989) | |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2024-12-20 |