| NPI | 1104318708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05945800) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW134859) |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2021-04-19 |