| NPI | 1306221775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW018665) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 17644) |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2022-10-19 |