| NPI | 1265473961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW015380) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW-123557) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2014-05-21 |