| NPI | 1215416565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW022757) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 131343) |
| 1041C0700X Social Worker, Clinical (Licence: NY 092797) | |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2022-08-15 |