| NPI | 1407495443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904011402) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW023911) |
| Enumeration Date | 2019-12-21 |
| Last Update Date | 2024-10-08 |