| NPI | 1063872315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW020491) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 094951-1) |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2020-08-18 |