| NPI | 1770940785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 12073) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW024140) |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2025-07-05 |