| NPI | 1134399322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW016474) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW125940) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2011-05-04 |