| NPI | 1043471709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 076774-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW017666) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2023-07-08 |