| NPI | 1275116576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW024038) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06644900) |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2024-04-22 |