| NPI | 1023619798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW020634) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: DE Q1-0011855) |
| Enumeration Date | 2020-11-07 |
| Last Update Date | 2020-12-24 |