| NPI | 1265421788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW015381) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW122792) |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2015-12-11 |