| NPI | 1356749774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 253441) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW019976) |
| 1041C0700X Social Worker, Clinical (Licence: PA SW130789) | |
| Enumeration Date | 2014-12-17 |
| Last Update Date | 2023-05-11 |