| NPI | 1609025683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: PA CW018095) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NH 1671) |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2015-03-18 |