| NPI | 1679839765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: PA 126252) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW017410) |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2024-05-28 |