| NPI | 1477091304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW019312) |
| Additional Taxonomies | 104100000X Social Worker |
| 163W00000X Registered Nurse (Licence: PA RN321749L) | |
| Enumeration Date | 2017-02-11 |
| Last Update Date | 2020-09-27 |