| NPI | 1194167379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09924553) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW130671) |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2022-09-07 |