| NPI | 1982926671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 6157) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW127347) |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2020-03-09 |