| NPI | 1154608024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 16823) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW003527E) |
| Enumeration Date | 2011-11-07 |
| Last Update Date | 2011-11-07 |