| NPI | 1952542904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW017010) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW126041) |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2022-11-27 |