| NPI | 1568941839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW023556) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: DE Q1-0012296) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06225100) | |
| 1041C0700X Social Worker, Clinical (Licence: DE Q1-0012296) | |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2023-08-03 |