| NPI | 1255841912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: DE Q1-0001573) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW128261) |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2018-09-25 |