| NPI | 1174943328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW018560) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW131080) |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2021-08-31 |