| NPI | 1154401099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW015806) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I-0009086) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2016-08-20 |