| NPI | 1124613476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW023812) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA AR165251) |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2025-01-13 |