| NPI | 1518364876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05660300) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL05893300) |
| 104100000X Social Worker (Licence: PA SW130962) | |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2015-11-10 |