| NPI | 1508447657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW017589) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 64496) |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2022-10-06 |