| NPI | 1558838052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW006515) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW018255) |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2018-11-01 |