| NPI | 1811146707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CWO17522) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW126549) |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2020-05-11 |