| NPI | 1093785339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CWO15775) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD 07971) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2011-06-06 |