| NPI | 1215435508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 58.011261) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT 4133) |
| 1041C0700X Social Worker, Clinical (Licence: NY 097300) | |
| 1041C0700X Social Worker, Clinical (Licence: PA CW024207) | |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2024-06-05 |