| NPI | 1124508155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 24203) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW019839) |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2020-08-04 |