| NPI | 1649605106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW021376) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA SW130433) |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2024-01-05 |