| NPI | 1518392257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW021682) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW60888763) |
| 1041C0700X Social Worker, Clinical (Licence: WA SC60549714) | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2022-09-28 |