| NPI | 1962743765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW019376) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: PA SW126483) |
| Enumeration Date | 2013-03-05 |
| Last Update Date | 2025-08-08 |