| NPI | 1922101419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MD 20748) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: PA CW015394) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2016-06-10 |