| NPI | 1053604595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0000956) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW016632) |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2011-05-17 |