| NPI | 1205356888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW20907) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW021333) |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2025-08-20 |