| NPI | 1487123527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 102146) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 091340) |
| 1041C0700X Social Worker Clinical (Licence: PA CW022405) | |
| 1041C0700X Social Worker Clinical (Licence: NJ 44SC06053100) | |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2021-12-27 |