| NPI | 1457014706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW018865) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05998600) |
| Enumeration Date | 2021-10-14 |
| Last Update Date | 2021-10-14 |