| NPI | 1780858233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 076550) |
| 1041C0700X Social Worker, Clinical (Licence: PA CW017698) | |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2025-02-04 |