| NPI | 1568011476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW020309) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA SW133014) |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2024-05-28 |