| NPI | 1932267705 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0000646) | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW104326) | 
| Enumeration Date | 2006-12-05 | 
| Last Update Date | 2015-02-06 |