| NPI | 1265199749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW023061) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904013456) |
| Enumeration Date | 2021-11-19 |
| Last Update Date | 2023-01-01 |