| NPI | 1942752183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA SW128702) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW018905) |
| Enumeration Date | 2016-11-03 |
| Last Update Date | 2022-03-25 |