| NPI | 1700280237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW019559) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA 9403) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: DE 1540) | |
| 104100000X Social Worker (Licence: PA SW130638) | |
| 104100000X Social Worker (Licence: NJ 44SL05857700) | |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2017-08-15 |