| NPI | 1447488515 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: HI 3767) | 
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 072258-1) | 
| 1041C0700X Social Worker, Clinical (Licence: PA CW016429) | |
| Enumeration Date | 2009-06-29 | 
| Last Update Date | 2021-03-03 |