| NPI | 1063197051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW024295) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW136170) |
| Enumeration Date | 2023-06-19 |
| Last Update Date | 2024-03-26 |