| NPI | 1275607806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: PA SW012348L) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 12329) |
| 1041C0700X Social Worker, Clinical (Licence: DC LC50077959) | |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2007-07-08 |