| NPI | 1821349952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA SW127488) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 0810301) |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2012-09-28 |