| NPI | 1831337294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW016180) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA CW016180) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06279300) | |
| 1041C0700X Social Worker, Clinical (Licence: NY 096247) | |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2024-09-11 |