| NPI | 1699928416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW016702) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C006963) |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2019-09-23 |