| NPI | 1720231970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0000801) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW122578) |
| 163W00000X Registered Nurse (Licence: PA RN546433) | |
| Enumeration Date | 2008-11-01 |
| Last Update Date | 2008-11-01 |