| NPI | 1386922177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW020014) |
| Additional Taxonomies | 104100000X Social Worker (Licence: DC LG50079458) |
| Enumeration Date | 2011-07-27 |
| Last Update Date | 2018-08-01 |