| NPI | 1114069101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW016370) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL05404000) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2009-08-10 |