| NPI | 1548743966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 096775) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW023333) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06381200) | |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2025-11-04 |