| NPI | 1134397003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY R052530) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW126465) |
| 1041C0700X Social Worker, Clinical (Licence: NY 052530) | |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2018-11-09 |