| NPI | 1245973395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW023508) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 23541) |
| Enumeration Date | 2022-04-17 |
| Last Update Date | 2023-05-26 |