| NPI | 1346671559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: DE Q1-0011888) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW128371) |
| Enumeration Date | 2013-12-13 |
| Last Update Date | 2021-06-16 |