| NPI | 1083716914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW020784) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW124259) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2022-07-28 |