| NPI | 1114439734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW024587) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW134782) |
| Enumeration Date | 2017-11-05 |
| Last Update Date | 2024-04-24 |