| NPI | 1750781464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW024674) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 1041C0700X Social Worker Clinical (Licence: NJ 44SC06072100) | |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2024-06-15 |