| NPI | 1770172462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW021671) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05677100) |
| Enumeration Date | 2021-01-16 |
| Last Update Date | 2021-12-28 |