| NPI | 1467653642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW012990L) |
| Additional Taxonomies | 251S00000X (Licence: NC C010757) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2022-07-21 |