| NPI | 1043256365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW019147) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 077142) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2020-07-06 |