| NPI | 1487794962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW015979) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW124679) |
| 104100000X Social Worker (Licence: NJ 44SL05361500) | |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2018-03-17 |