| NPI | 1558764688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW018715) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL05645500) |
| 104100000X Social Worker (Licence: PA SW126839) | |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2020-05-22 |