| NPI | 1235677758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 084934) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW021823) |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2021-11-11 |