| NPI | 1811090038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW018250) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW124255) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2022-07-28 |