| NPI | 1316317050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW019797) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW132811) |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2021-08-23 |