| NPI | 1538497193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW017009) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA SW125048) |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2011-09-02 |