| NPI | 1407905060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 09118) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW016269) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2010-03-09 |