| NPI | 1306198072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA SW129919) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW019185) |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2024-02-22 |