| NPI | 1104683127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 27706) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW025237) |
| Enumeration Date | 2024-03-05 |
| Last Update Date | 2025-01-20 |