| NPI | 1750550539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 007628) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW016115) |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2014-10-22 |