| NPI | 1295136547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW017841) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL05590900) |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2014-09-05 |