| NPI | 1215195961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 090400701) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: PA CW015767) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2014-10-28 |