| NPI | 1306370200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW021586) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.1901609) |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2025-10-29 |