| NPI | 1134324718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW019278) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN LSW0000003999) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2019-09-17 |