| NPI | 1154878221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 086749) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW018833) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2021-05-28 |