| NPI | 1043749104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: SC 13915) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW134266) |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2024-08-20 |