| NPI | 1598805582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0000736) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW014576) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05239300) | |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2007-07-09 |