| NPI | 1770001984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW021274) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA SW134412) |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2020-08-18 |