| NPI | 1053543454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW022736) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical (Licence: MA 118189) | |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904012395) | |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2023-07-11 |