| NPI | 1871518902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW012281) |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2007-07-26 |