| NPI | 1053887364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06005400) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW022020) |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2021-09-17 |