| NPI | 1245632124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0001415) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW018714) |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2018-02-12 |