| NPI | 1134291289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW018318) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05598000) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2015-03-03 |