| NPI | 1306296694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW018937) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL05932900) |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2016-06-16 |