| NPI | 1740972355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW024476) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 1041C0700X Social Worker Clinical (Licence: NJ 44SC06412500) | |
| Enumeration Date | 2023-05-23 |
| Last Update Date | 2025-05-29 |