| NPI | 1346265865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW018672) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I-0008960) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2024-04-09 |