| NPI | 1417244187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW021714) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 084978) |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2021-04-30 |