| NPI | 1407059959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: PA SW123353) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 041426) |
| 1041C0700X Social Worker, Clinical (Licence: PA CW013908) | |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2007-07-08 |