| NPI | 1619960374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC04545900) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: PA CW021209) |
| 1041C0700X Social Worker Clinical (Licence: DE Q1-0011883) | |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2021-06-30 |