| NPI | 1144536848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW017325) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW127308) |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2019-06-21 |