| NPI | 1245760115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 105166) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA SW134341) |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2023-01-03 |