| NPI | 1134842545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C016056) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW022909) |
| Enumeration Date | 2022-09-21 |
| Last Update Date | 2026-08-12 |