| NPI | 1023496171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MD 21310) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW131590) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2015-05-09 |
| Last Update Date | 2023-10-23 |