| NPI | 1568616134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW017582) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 3244) |
| Enumeration Date | 2008-11-10 |
| Last Update Date | 2015-06-05 |