| NPI | 1063858827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW017932) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW128763) |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2020-09-11 |