| NPI | 1235658147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW021725) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06301600) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06033000) | |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2025-06-09 |