| NPI | 1730560665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW019953) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW132001) |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2023-01-26 |