| NPI | 1366438103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW-015931) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW122751) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2008-08-04 |