| NPI | 1225794464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW024936) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW138366) |
| Enumeration Date | 2021-11-11 |
| Last Update Date | 2025-11-22 |