| NPI | 1316658446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: UT 13683024-3502) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: PA SW139307) |
| Enumeration Date | 2022-12-09 |
| Last Update Date | 2024-05-21 |