| NPI | 1962768085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X (Licence: PA CW017267) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW017267) |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2024-02-01 |