| NPI | 1194459578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC200003102) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW026472) |
| Enumeration Date | 2022-07-12 |
| Last Update Date | 2026-08-30 |