| NPI | 1003385212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW011786L) |
| 1041C0700X Social Worker, Clinical (Licence: HI LCSW-4438) | |
| Enumeration Date | 2018-11-16 |
| Last Update Date | 2020-02-04 |