| NPI | 1306864772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA SW125638) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 42174) |
| 1041C0700X Social Worker, Clinical (Licence: NY 070106-1) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2010-03-25 |