| NPI | 1790101707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05577200) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: PA CW017858) |
| Enumeration Date | 2014-03-14 |
| Last Update Date | 2017-02-16 |