| NPI | 1679904114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW019142) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA sw130858) |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2024-05-21 |