| NPI | 1275685471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW019386) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CT LCSW005249) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2018-10-10 |