| NPI | 1902522618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW025681) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06349500) |
| Enumeration Date | 2022-10-13 |
| Last Update Date | 2025-05-29 |