| NPI | 1629369145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW018693) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD 16083) |
| 1041C0700X Social Worker, Clinical (Licence: DE q1-0001187) | |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2023-10-25 |