| NPI | 1366997223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW019711) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW130337) |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2024-06-28 |