| NPI | 1578662300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC00156900) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW004216L) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2011-05-02 |