| NPI | 1174740716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C004142) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: PA CW014487) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2011-12-22 |