| NPI | 1598237570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW023970) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 095147-01) |
| Enumeration Date | 2019-01-01 |
| Last Update Date | 2024-01-10 |