| NPI | 1851632301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW021243) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA CW021243) |
| 104100000X Social Worker (Licence: PA SW128445) | |
| Enumeration Date | 2013-03-08 |
| Last Update Date | 2020-07-14 |