| NPI | 1265620058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R078219-01) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06271800) |
| 1041C0700X Social Worker, Clinical (Licence: PA CW023793) | |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2026-06-22 |