| NPI | 1285253120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW021593) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 089406) |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2021-02-25 |