| NPI | 1376954099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 005197) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW017203) |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2020-04-06 |