| NPI | 1205162336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 11839) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50078453DC) |
| 1041C0700X Social Worker, Clinical (Licence: PA CW015813) | |
| Enumeration Date | 2009-10-24 |
| Last Update Date | 2009-10-24 |