| NPI | 1780096693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW018251) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW 129206) |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2018-04-05 |