| NPI | 1972780542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA cwo14520) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA cwo014520) |
| Enumeration Date | 2008-01-26 |
| Last Update Date | 2008-01-26 |