| NPI | 1740485176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.100027) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW015078) |
| Enumeration Date | 2007-06-16 |
| Last Update Date | 2014-06-05 |