| 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 |