| NPI | 1740613223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0001230) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW017393) |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2015-12-12 |