| NPI | 1710235627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904012934) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW024421) |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2024-05-09 |