| NPI | 1205968898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW016024) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW125339) |
| Enumeration Date | 2007-03-10 |
| Last Update Date | 2012-03-05 |