| NPI | 1417465972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW021872.) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 102336) |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2021-06-01 |