| NPI | 1740919471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: PA sw139223) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW026576) |
| Enumeration Date | 2022-06-08 |
| Last Update Date | 2025-10-14 |