| NPI | 1124333695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 069814-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW023175) |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2023-06-01 |