| NPI | 1356963375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012866) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW020745) |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2020-05-13 |