| NPI | 1265120810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW024895) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 12856) |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2024-11-15 |