| NPI | 1003462185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW021882) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW13930) |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2023-05-10 |