| NPI | 1134317050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW015147) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 1029060) |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2010-11-17 |