| NPI | 1457696395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW018796) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW129114) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2012-12-04 |
| Last Update Date | 2018-03-17 |