| NPI | 1316983844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: DE Q1-0001710) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW014734) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2019-08-14 |