| NPI | 1295234524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C007978) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW019807) |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2018-02-01 |