| NPI | 1669814679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW017924) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MD 18710) |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2018-03-17 |