| NPI | 1285853770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 12348) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW020486) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2022-06-24 |