| NPI | 1720466956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW019267) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW13902) |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2016-12-12 |