| NPI | 1053347211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 11227) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW014435) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2017-10-18 |