| NPI | 1396943262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: PA SW004577E) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW8302) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC04916100) | |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2007-07-08 |