| NPI | 1982727582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW016617) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: TX 14169) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2015-01-21 |