| NPI | 1487025946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW026996) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 090382-1) |
| 1041C0700X Social Worker, Clinical (Licence: NY 087406-01) | |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2026-05-25 |