| NPI | 1558688390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW016409) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I 0800168) |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2011-05-16 |