| NPI | 1225503337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW021831) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW134760) |
| Enumeration Date | 2018-10-05 |
| Last Update Date | 2021-05-25 |