| 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 |