| NPI | 1811594682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW024612) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06401900) |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2024-10-30 |