| NPI | 1407299035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW020874) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW129646) |
| Enumeration Date | 2013-04-13 |
| Last Update Date | 2019-10-23 |