| NPI | 1063933687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MD 30281) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: PA CW020954) |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2024-07-08 |