| NPI | 1154981702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW014062) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0001506) |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2023-04-20 |