| NPI | 1093337552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW022562) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW135620) |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2022-05-09 |