| NPI | 1760502538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R078977-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 078977-1) |
| 1041C0700X Social Worker, Clinical (Licence: NY 72071964) | |
| 1041C0700X Social Worker, Clinical (Licence: PA CW025957) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2025-09-08 |