| NPI | 1134686637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW025814) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW132059) |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2025-07-03 |