| NPI | 1235111675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW013180) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: AZ 3783803) |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2007-07-09 |