| NPI | 1952633489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: PA SW 127249) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW017422) |
| Enumeration Date | 2010-02-09 |
| Last Update Date | 2016-10-25 |