| NPI | 1972774297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW017185) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW123163) |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2021-04-29 |