| NPI | 1316276504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 10701) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC00838000) |
| 1041C0700X Social Worker, Clinical (Licence: PA CW017565) | |
| 1041C0700X Social Worker, Clinical (Licence: TX 59127) | |
| Enumeration Date | 2009-12-16 |
| Last Update Date | 2016-06-18 |