| NPI | 1528073285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW016481) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW012846L) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2009-11-30 |