| NPI | 1710405972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA SW134697) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 097033-1) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2017-09-07 |