| NPI | 1225554546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 10757) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW131078) |
| 1041C0700X Social Worker, Clinical (Licence: PA CW019835) | |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2019-12-02 |