| NPI | 1811300122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA cw019534) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA 131460) |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2018-05-30 |