| NPI | 1235529082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW0200730) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA SW131531) |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2020-05-20 |