| NPI | 1023039930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA cw013797) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44sc00835800) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2015-09-17 |