| NPI | 1801069901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 10690) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA SW 123007) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2019-09-05 |