| NPI | 1790988608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA SW123626) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.2203424) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2022-05-11 |