| NPI | 1891728242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW017609) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 000113075) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2013-12-03 |