| NPI | 1285820811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05679500) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW125822) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2024-02-05 |