| NPI | 1871967133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW019883) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW132450) |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2018-07-26 |