| NPI | 1538673942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0011815) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA SW134698) |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2022-08-19 |