| NPI | 1205210168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW024275) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06551500) |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2025-11-03 |