| NPI | 1457643579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW018452) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW128293) |
| Enumeration Date | 2011-05-08 |
| Last Update Date | 2022-07-28 |