| NPI | 1295811644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 04766) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA cw016995) |
| Enumeration Date | 2006-10-28 |
| Last Update Date | 2019-11-07 |