| NPI | 1114672706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW023295) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06504500) |
| Enumeration Date | 2022-02-13 |
| Last Update Date | 2025-10-21 |