| NPI | 1922392646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05427400) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW016841) |
| Enumeration Date | 2011-05-31 |
| Last Update Date | 2020-08-19 |