| NPI | 1861881567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW020589) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34005825A) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149000932) | |
| Enumeration Date | 2015-01-18 |
| Last Update Date | 2021-02-10 |