| NPI | 1033661335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C013817) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA CW020026) |
| 1041C0700X Social Worker, Clinical (Licence: PA CW020026) | |
| Enumeration Date | 2016-11-03 |
| Last Update Date | 2022-05-23 |