| NPI | 1871061523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW021396) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 085713) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06002500) | |
| Enumeration Date | 2018-11-10 |
| Last Update Date | 2022-12-23 |