| NPI | 1700896891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW015797) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: UT 53830613502) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2009-12-08 |