| NPI | 1306819362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW017355) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 13447) |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2023-08-04 |