| NPI | 1407191711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW 017567) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0001178) |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2023-03-01 |