| NPI | 1497903579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW018209) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 080563) |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2015-12-01 |