| NPI | 1528651932 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: PA SW013207L) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: PA SW013207L) |
| Enumeration Date | 2021-02-17 |
| Last Update Date | 2021-04-17 |