| NPI | 1629318225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW017888) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA CW-SW128097) |
| Enumeration Date | 2013-02-20 |
| Last Update Date | 2015-10-02 |