| NPI | 1154645182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW016354) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05417400) |
| Enumeration Date | 2010-03-19 |
| Last Update Date | 2020-01-06 |