| NPI | 1164964433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW021574) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 099465) |
| 104100000X Social Worker (Licence: PA SW134154) | |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2021-01-11 |