| NPI | 1639896772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW024048) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA LICSW126430) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06540200) | |
| Enumeration Date | 2022-10-19 |
| Last Update Date | 2025-11-03 |