| NPI | 1811135015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW016307) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW127011) |
| Enumeration Date | 2009-01-26 |
| Last Update Date | 2010-05-03 |