| NPI | 1104018431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC00447700) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: PA CW014349) |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2024-05-17 |