| NPI | 1861808792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW027279) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 32086) |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2026-04-07 |