| NPI | 1487119400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA SW131666) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904019121) |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2025-11-19 |