| NPI | 1164805453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C002522) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SD 4763) |
| 1041C0700X Social Worker, Clinical (Licence: PA CW018751) | |
| Enumeration Date | 2015-07-04 |
| Last Update Date | 2020-09-15 |