| NPI | 1326458696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW10868) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY RO41885-1) |
| 1041C0700X Social Worker, Clinical (Licence: PA CW013353) | |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2014-05-07 |