| NPI | 1205541612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW026829) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW138642) |
| Enumeration Date | 2023-01-19 |
| Last Update Date | 2026-04-18 |