| NPI | 1811177025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW016619) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA SW013287L) |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2024-11-13 |