| NPI | 1720612807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW017210) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA 172210) |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2021-10-05 |