| NPI | 1043325921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0001616) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW012318L) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2022-01-24 |