| NPI | 1528425097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW021038) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW131005) |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2023-06-21 |