| NPI | 1063290344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW024324) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA SW133708) |
| Enumeration Date | 2023-09-19 |
| Last Update Date | 2024-04-17 |