| NPI | 1972969228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05598400) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW018430) |
| Enumeration Date | 2016-01-01 |
| Last Update Date | 2016-02-02 |