| NPI | 1689928814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW016209) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 059776) |
| Enumeration Date | 2012-11-09 |
| Last Update Date | 2012-11-09 |