| NPI | 1952734501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05258700) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: PA CW023570) |
| 1041C0700X Social Worker Clinical (Licence: NY 093555) | |
| 1041C0700X Social Worker Clinical (Licence: MA 111636) | |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2023-11-14 |