| NPI | 1790945848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW015741) |
| Additional Taxonomies | 251S00000X (Licence: PA CW015741) |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2017-01-12 |