| NPI | 1457768129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW019792) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 085934) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05770200) | |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2025-03-26 |