| NPI | 1811023773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CWO14480) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW014480) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2011-07-26 |