| NPI | 1790089902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA 015619) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW015619) |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2020-05-04 |