| NPI | 1811506918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW021198) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 009836) |
| 1041C0700X Social Worker, Clinical (Licence: RI ISW02623) | |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2020-12-17 |