| NPI | 1720399165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 73081070) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA SW123357) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2014-06-09 |