| NPI | 1275549503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: PA SW008995L) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW019933) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2021-04-08 |