| NPI | 1578894069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 080535) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW128179) |
| Enumeration Date | 2010-01-22 |
| Last Update Date | 2012-10-15 |