| NPI | 1205224888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 252554) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW019550) |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2023-12-20 |