| NPI | 1578989455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW016122) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 12554) |
| Enumeration Date | 2014-03-14 |
| Last Update Date | 2014-03-14 |