| NPI | 1366636276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: PA SW126034) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904007770) |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2012-08-10 |