| NPI | 1730655424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW021789) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW135436) |
| Enumeration Date | 2018-10-19 |
| Last Update Date | 2025-07-15 |