| NPI | 1679605349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW017278) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS23349) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2012-04-12 |