| NPI | 1811164734 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: PA SW124503) | 
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW124503) | 
| Enumeration Date | 2008-05-09 | 
| Last Update Date | 2008-05-09 |