| NPI | 1114521549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06123900) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA SW135805) |
| Enumeration Date | 2020-11-25 |
| Last Update Date | 2023-11-29 |