| NPI | 1114433117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW024558) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44sl06877300) |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2025-04-02 |