| NPI | 1275052383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW022582) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06206300) |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2024-11-15 |