| NPI | 1316182520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C006769) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW015505) |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2016-02-25 |