| NPI | 1033190277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW015045) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05128100) |
| Enumeration Date | 2005-11-05 |
| Last Update Date | 2007-07-08 |