| NPI | 1659797678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW022652) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: PA SW130712) |
| Enumeration Date | 2014-03-14 |
| Last Update Date | 2022-11-15 |