| NPI | 1366824831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: PA CW019820) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2022-03-23 |