| NPI | 1497145742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW018499) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NJ 44SL05700300) |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2015-03-06 |