| NPI | 1629120084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06138900) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.021706) |
| 1041C0700X Social Worker, Clinical (Licence: PA CW024459) | |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2024-03-04 |