| NPI | 1134432180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW016663) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05743100) |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2022-03-01 |