| NPI | 1366948432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW023072) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW134912) |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2023-08-03 |