| NPI | 1154724490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW022294) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 7025) |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2025-03-14 |