| NPI | 1750449278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW016876) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C005288) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2012-08-16 |