| NPI | 1134325665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW015722) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA SW125097) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2018-07-31 |