| NPI | 1861896425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW022987) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 085449) |
| 1041C0700X Social Worker, Clinical (Licence: NC P009273) | |
| Enumeration Date | 2014-10-10 |
| Last Update Date | 2023-10-13 |