| NPI | 1104340470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW019980) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW129077) |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2022-07-21 |