| NPI | 1306192620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 8887) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW020198) |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2023-04-19 |