| NPI | 1285028043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW019515) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW131989) |
| 104100000X Social Worker (Licence: PA CW019515) | |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2022-05-19 |