| NPI | 1356575856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0000981) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW016310) |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2016-06-27 |