| NPI | 1285023408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05655300) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.017037) |
| 1041C0700X Social Worker, Clinical (Licence: PA CW018885) | |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2017-08-10 |