| NPI | 1073786513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW016311) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW125851) |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2024-03-26 |