| NPI | 1114241080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW018840) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW127803) |
| Enumeration Date | 2010-03-22 |
| Last Update Date | 2022-09-26 |