| NPI | 1801206420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009473) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW018415) |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2015-10-28 |