| NPI | 1669692471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW016595) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA SW125872) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2011-02-24 |