| NPI | 1881623296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW013351) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904005689) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2018-08-01 |