| NPI | 1275950024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW015890) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 19733) |
| Enumeration Date | 2014-03-18 |
| Last Update Date | 2023-11-02 |