| NPI | 1891384509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW023359) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW137446) |
| Enumeration Date | 2021-01-16 |
| Last Update Date | 2023-08-21 |