| NPI | 1285953299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW018122) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C006740) |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2015-05-12 |