| NPI | 1013502483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW022374) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 23194) |
| Enumeration Date | 2021-03-07 |
| Last Update Date | 2021-12-30 |