| NPI | 1336470715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW017853) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OH I1302247) |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2016-04-27 |