| NPI | 1093162091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW020357) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05874200) |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2026-05-29 |