| NPI | 1043602659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 087401) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 093522) |
| 104100000X Social Worker (Licence: PA SW132056) | |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2018-12-27 |