| NPI | 1205373784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0012792) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 106729) |
| 1041C0700X Social Worker, Clinical (Licence: PA CW024523) | |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2025-10-17 |