| NPI | 1639329428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05360200) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW015330) |
| 251S00000X (Licence: NJ 44SC05360200) | |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2023-11-22 |