| NPI | 1417296161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW020262) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW008998L) |
| Enumeration Date | 2013-01-31 |
| Last Update Date | 2021-04-12 |