| NPI | 1114220183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW020973) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW004357) |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2021-10-04 |