| NPI | 1245428655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW017353) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05340300) |
| 1041C0700X Social Worker, Clinical (Licence: ME LC17741) | |
| 1041C0700X Social Worker, Clinical (Licence: VT 089.0134162) | |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2018-12-17 |