| NPI | 1467450197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW002193) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA CW002193) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2010-11-23 |