| NPI | 1982376844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW022152) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC C014773) |
| 1041C0700X Social Worker Clinical (Licence: NJ 44SC06144500) | |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2024-12-18 |