| NPI | 1891068920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW017139) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL05591300) |
| Enumeration Date | 2012-02-21 |
| Last Update Date | 2017-04-17 |