| NPI | 1982818068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW015852) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW123933) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2012-05-01 |