| NPI | 1982930962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW016387) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05428100) |
| Enumeration Date | 2009-10-26 |
| Last Update Date | 2022-07-21 |