| NPI | 1205874856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA SW122761) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 1041C0700X Social Worker Clinical (Licence: AL 3988C) | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2023-02-02 |