| NPI | 1427622497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW021942) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801109352) |
| Enumeration Date | 2021-05-14 |
| Last Update Date | 2024-01-14 |