| NPI | 1477854206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW-013906) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA DN-000906) |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2010-11-10 |