| NPI | 1750909024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW023684) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 88192) |
| 1041C0700X Social Worker, Clinical (Licence: UT 12540426-3501) | |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2024-03-14 |