| NPI | 1053886598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW023084) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID 37663) |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2022-11-10 |