| NPI | 1083631030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW014501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 1031163) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2022-10-30 |