| NPI | 1346564952 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0001289) | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW016817) | 
| Enumeration Date | 2010-03-25 | 
| Last Update Date | 2019-01-28 |