| NPI | 1740684695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW019389) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA 130055) |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2023-12-21 |