| NPI | 1588115422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW019813) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: PA SW126266) |
| 1041S0200X Social Worker School (Licence: PA SW126266) | |
| Enumeration Date | 2016-10-15 |
| Last Update Date | 2020-04-14 |