| NPI | 1194147207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW026922) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 101817) |
| Enumeration Date | 2014-01-08 |
| Last Update Date | 2026-07-29 |