| NPI | 1346806726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW023353) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06202800) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06102700) | |
| Enumeration Date | 2019-05-11 |
| Last Update Date | 2023-03-14 |