| NPI | 1700416005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW018168) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06041600) |
| 1041C0700X Social Worker, Clinical (Licence: DE Q5-0000112) | |
| Enumeration Date | 2020-01-25 |
| Last Update Date | 2024-11-02 |