| NPI | 1609185784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0000860) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW015143) |
| Enumeration Date | 2010-10-06 |
| Last Update Date | 2013-12-04 |