| NPI | 1407150253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW017426) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA SW127310) |
| Enumeration Date | 2011-01-07 |
| Last Update Date | 2020-12-13 |