| NPI | 1629305958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW016859) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW127247) |
| Enumeration Date | 2009-11-06 |
| Last Update Date | 2011-02-11 |