| NPI | 1538485909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AZ LCSW-16811) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: PA CW015293) |
| Enumeration Date | 2010-04-10 |
| Last Update Date | 2019-09-06 |