NPI | 1093260127 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW019454) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 28096) |
Enumeration Date | 2016-08-18 |
Last Update Date | 2022-10-08 |