| NPI | 1225042062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 083027-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW012982) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2015-04-29 |