| NPI | 1013469600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW021637) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW133530) |
| Enumeration Date | 2016-10-29 |
| Last Update Date | 2021-03-19 |