| NPI | 1912169244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW016042) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW124397) |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2009-11-25 |