| NPI | 1003367616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW021779) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW132782) |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2023-03-04 |