| NPI | 1164054409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: PA CW023863) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW023863) |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2025-07-10 |