| NPI | 1881186591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C012156) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: PA CW023284) |
| 1041C0700X Social Worker Clinical (Licence: NC P011053) | |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2023-05-15 |