| NPI | 1750669339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW019844) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06080000) | |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2023-01-26 |