| NPI | 1225662133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW023542) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW136136) |
| Enumeration Date | 2020-02-29 |
| Last Update Date | 2023-05-15 |