| NPI | 1790726099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW015726) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW124091) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2007-09-21 |