| NPI | 1881165694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-11369) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW135230) |
| 1041C0700X Social Worker, Clinical (Licence: PA CW021007) | |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2021-07-06 |