| NPI | 1144599747 |
|---|---|
| Former Name | CARLA RUPP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW019523) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW129184) |
| Enumeration Date | 2011-12-28 |
| Last Update Date | 2017-07-13 |