| NPI | 1235510157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW019670) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW131406) |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2021-04-09 |