| NPI | 1508106915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0001203) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW019398) |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2019-01-16 |