| NPI | 1417363599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW019280) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW130647) |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2017-07-28 |