| NPI | 1922401835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 120522) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA AW130072) |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2018-01-03 |