| NPI | 1346674645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 85860) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW129778) |
| 1041C0700X Social Worker, Clinical (Licence: PA CW018554) | |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2019-05-01 |