| NPI | 1992108989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06332800) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA CW021291) |
| 1041C0700X Social Worker, Clinical (Licence: PA CW021291) | |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2024-06-04 |