| NPI | 1376200105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW025601) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW039055) |
| Enumeration Date | 2021-11-29 |
| Last Update Date | 2025-03-05 |