| NPI | 1982817185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW012948) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 068561) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2024-06-21 |