| NPI | 1780101428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW021700) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 125371) |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2024-04-20 |