| NPI | 1841565983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW019757) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW125268) |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2024-03-27 |