| NPI | 1457801185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW019800) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA SW133124) |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2019-08-09 |