| NPI | 1669705901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW017231) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2015-03-18 |