| NPI | 1790031367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW018516) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041S0200X Social Worker School | |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2017-04-20 |