| NPI | 1790221653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW024389) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 09326-01) |
| Enumeration Date | 2017-01-16 |
| Last Update Date | 2024-03-22 |