| NPI | 1518954015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW018991) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA sw122446) |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2016-05-16 |