| NPI | 1003567876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 227750) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA SW138705) |
| Enumeration Date | 2022-01-13 |
| Last Update Date | 2022-01-27 |