| NPI | 1073094801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW020187) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WV BP00944358) |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2025-01-08 |