NPI | 1912616301 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW016267) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 12760) |
163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: PA RN693582) | |
Enumeration Date | 2022-11-15 |
Last Update Date | 2022-11-15 |