| NPI | 1386191187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW019790) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: PA SW130691) |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2018-10-14 |