| NPI | 1689019689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW017183) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 078557-1) |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2013-05-03 |