| NPI | 1285158089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW021499) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 101180) |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2021-02-08 |