| NPI | 1770287765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 104149) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW025644) |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2026-06-09 |