| NPI | 1871653584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW018756) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW122833) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-04-21 |