| NPI | 1124200191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 078142) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05603400) |
| 1041C0700X Social Worker, Clinical (Licence: PA CW023438) | |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2023-03-07 |