| NPI | 1386793867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: PA CW018393) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA SW011407L) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2015-01-23 |