| NPI | 1023690716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW022125) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW136105) |
| Enumeration Date | 2021-04-22 |
| Last Update Date | 2021-11-23 |