| NPI | 1952049835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW016472) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00304400) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05545400) | |
| Enumeration Date | 2022-05-22 |
| Last Update Date | 2022-05-22 |