| NPI | 1831560549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05837900) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW132681) |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2019-01-16 |