| NPI | 1649236498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 259024) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW015236) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2025-05-13 |