| NPI | 1275935850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05588000) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW018442) |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2019-02-04 |