| NPI | 1184779894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW024888) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW007916L) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2025-05-12 |