| NPI | 1275926511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: PA SW137218) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 091942) |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2020-09-29 |