NPI | 1356038954 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW023797) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06384600) |
Enumeration Date | 2023-04-24 |
Last Update Date | 2025-02-09 |