| NPI | 1316360555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0001458) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW125033) |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2019-08-22 |