| NPI | 1093063588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW021054) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW125153) |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2021-01-22 |