| NPI | 1346611076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 095796) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW131685) |
| 104100000X Social Worker (Licence: MD 21227) | |
| 1041C0700X Social Worker, Clinical (Licence: PA SW131485) | |
| 1041C0700X Social Worker, Clinical (Licence: MD 21227) | |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-11-23 |