| NPI | 1235229170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW020968) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 069192- R) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2022-09-29 |