| NPI | 1457622953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW017086) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 14307) |
| Enumeration Date | 2012-01-16 |
| Last Update Date | 2019-01-02 |