| NPI | 1508962408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 093547) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW015431) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2025-10-01 |