| NPI | 1649357914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW024178) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SC05313700) |
| 1041C0700X Social Worker, Clinical (Licence: DE Q-1-00011845) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2025-11-12 |