| NPI | 1053991190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW025094) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW136241) |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2024-09-24 |