| NPI | 1689496895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW026466) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06577700) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904019196) | |
| Enumeration Date | 2024-10-29 |
| Last Update Date | 2025-11-06 |