| NPI | 1720668494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW020095) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 085669-01) |
| Enumeration Date | 2021-04-08 |
| Last Update Date | 2021-04-08 |