| NPI | 1265923510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW021615) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 118494) |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2023-01-30 |