| NPI | 1083022610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW019068) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW130736) |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2019-09-12 |