| NPI | 1255744512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW019202) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: DE Q1-0001485) |
| 104100000X Social Worker | |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2022-08-09 |