| NPI | 1962500744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW018583) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 112160) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2017-04-13 |