| NPI | 1538570197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0001024) |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical (Licence: PA CW016638) | |
| 1041C0700X Social Worker, Clinical (Licence: MD 07976) | |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2025-08-20 |