| NPI | 1003309659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW021384) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA SW134316) |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2023-11-27 |