| NPI | 1124399597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: PA SW128748) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MD 27599) |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2021-08-19 |