| NPI | 1316116767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW015802) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA CW105802) |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2011-09-02 |