| NPI | 1427057496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW013810) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2001001922) |
| 1041C0700X Social Worker, Clinical (Licence: NY 044551-1) | |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2007-07-08 |