| NPI | 1184637324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW017162) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW124332) |
| 1041C0700X Social Worker, Clinical (Licence: PA SW124332) | |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2018-04-16 |