| NPI | 1285787457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW017430) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 076816-1) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2023-07-17 |