| NPI | 1649627100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW018820) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06139500) |
| 1041C0700X Social Worker, Clinical (Licence: DE Q1-0001397) | |
| Enumeration Date | 2016-05-15 |
| Last Update Date | 2023-02-13 |