| NPI | 1699436287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA 22457) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CT 11852) |
| 1041C0700X Social Worker Clinical (Licence: NY 094219) | |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2025-03-06 |