| 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 |