| NPI | 1053057018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW025178) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW139185) |
| Enumeration Date | 2022-05-11 |
| Last Update Date | 2025-01-22 |