| NPI | 1932359668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 006823) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW016916) |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2022-12-01 |