| NPI | 1730587403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW020574) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 088233-1) |
| Enumeration Date | 2014-12-12 |
| Last Update Date | 2019-09-04 |