| NPI | 1407551294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW023572) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA SW132457) |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2024-04-09 |