| NPI | 1487756821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WV DP00453081) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: PA CW013709) |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2015-08-27 |