| NPI | 1811351117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 009417) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW025288) |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2025-01-17 |