| NPI | 1477797397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW019157) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW60395422) |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2021-02-17 |